FMR – 4
Report on Dacoities/Robberies/Theft/Burglaries
(Vide Paragraph 7)Name of the bank ______________________________________
Report for the quarter ended _____________________________
| Name of branch | Address | District | State | Type of branch | Risk classification | Whether a currency chest branch | Type of Case | Date and time of occurrence | Amount involved | Amount recovered | Insurance claim settled | Arrested |
|---|
| | | | | | | | | | | | | Staff | Robbers |
|---|
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 |
|---|
| | | | | | | | | | | | | | |
| Killed | Injured | Convicted | Compensation paid | Action taken | Crime No. and name of police station at which offence has been registered | Remarks (No. of armed guards on duty) |
|---|
| Staff | Robbers | Others | Staff | Others | Staff | Robbers | Staff | Others | | | |
|---|
| 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 |
|---|
| | | | | | | | | | | | |
i. Rural/Semi-urban/Urban/Metropolitan
ii. High/Normal/Low
iii. Dacoity/Robbery/Theft/Burglary
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